Clinical Impact of Different Scores of the Mini Nutritional Assessment (Mna) in the Diagnosis of Malnutrition in Patients With Cognitive Impairment

Arellano, Marta; Garcia-Caselles, M.P.; Pi-Figueras, Maria; Miralles, Ramón; Torres, Rosa; Aguilera, A.; Cervera, A.M.

doi:10.1016/j.archger.2004.04.006

Cited by 21 publications

(25 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Segú n los criterios aplicados, se diagnostica desnutrició n mediante el uso de los marcadores antropomé tricos 12,14,40,43,53 , los marcadores bioquímicos 13 , o bien el uso conjunto de ambos 3,7,11,13,15,33,[36][37][38]41,48 . El uso de pará metros antropomé tricos y bioquímicos para la evaluació n del estado nutricional ha sido ampliamente descrito.…”

Section: Parámetros Antropome´tricos Y Bioquı´micosunclassified

“…Aun así, la interpretació n de estos resultados debe hacerse con prudencia, ya que la població n anciana es muy heterogé nea y engloba tanto a aquellos que no pueden valerse por sí mismos como a los que tienen un alto grado de independencia y actividad. Ademá s, existen otros factores importantes asociados a la malnutrició n que se deben tener en cuenta, como por ejemplo el estatus socioeconó mico, los há bitos tó xicos y alimentarios, el estado de salud global de los ancianos, la comorbilidad, el grado de dependencia o la funció n cognitiva, entre muchos otros 2,5,11,24 .…”

Section: Discusió Nunclassified

“…Estas diferencias tambié n son debidas a la heterogeneidad de los centros y la tipología de los residentes. Mientras que en algunas residencias la població n seleccionada presentaba un buen estado de salud general y un notable grado de independencia 53 , en otras había una elevada proporció n de ancianos con discapacidad o problemas cognitivos 11,18,22 . Ademá s, varios estudios muestran consumos por debajo de las recomendaciones establecidas tanto en calorías como en nutrientes, especialmente en vitamina D, vitaminas del grupo B, cinc y á cido fó lico 5,12,14,50,51 .…”

Section: Discusió Nunclassified

See 2 more Smart Citations

Prevalencia de malnutrición en la población anciana española: una revisión sistemática

Villarroel¹,

Formiga²,

Alert³

et al. 2012

Medicina Clínica

View full text Add to dashboard Cite

Section: Parámetros Antropome´tricos Y Bioquı´micosunclassified

Section: Discusió Nunclassified

See 1 more Smart Citation

Prevalencia de malnutrición en la población anciana española: una revisión sistemática

Villarroel¹,

Formiga²,

Alert³

et al. 2012

Medicina Clínica

View full text Add to dashboard Cite

“…The Mini-Nutritional Assessment (MNA) test, that attributes scores based on anthropometric, dietetic, global and subjective assessments [8][9][10] , congregates those advantages and has been pretty much evaluated in geriatric patients [8][9][10][11][12][13][14][15][16][17][18][19][20] .…”

Section: Introductionmentioning

confidence: 99%

Dependence of Mini-Nutritional Assessment Scores with Age and Some Hematological Variables in Elderly Institutionalized Patients

Rezende

Cunha²,

Júnior³

et al. 2005

Gerontology

View full text Add to dashboard Cite

Background: Nutritional imbalance is a serious problem in developing countries, especially for the older population, which makes simple and rapid instruments for nutritional evaluation very necessary in order to have a detailed picture of the undernutrition epidemiology in those places. Objective: This work aimed to evaluate the nutritional status of elderly institutionalized patients by use of the Mini-Nutritional Assessment (MNA) test and compare the MNA scores with some hematological variables. Methods: We performed a cross-sectional study in elderly institutionalized patients (153) of all nursing homes in the Brazilian city of Uberlândia, using the MNA questionnaire and quantitative analysis of erythrocytes, hematocrit, hemoglobin, serum iron and transferrin. The subjects were classified by gender, nutritional state and age range. The nutritional categories were compared by analysis of variance and the dependence between the considered variables was tested with the Spearman correlation analysis. Results: 60% of the subjects were female. The average age was 74.6 ± 9.5 and 78.5 ± 9.5 years for male and female individuals, respectively. 18.3% of the patients presented undernutrition, 45.7% presented risk of undernutrition, and 36.0% were well nourished. These three nutritional categories showed statistically significant differences among the MNA scores, age and all the hematological parameters, for the sum of both genders, but not for the age, iron and transferrin values of the male individuals and hematocrit and hemoglobin values of the female patients. Significant differences between genders were not observed only for the MNA and transferrin values. MNA values presented positive correlations with erythrocytes, hematocrit, hemoglobin, and serum iron levels, and also a negative correlation with age, which was attributed to a worsening of the nutritional state with age. Conclusion: Based on the MNA, 64% of the elderly institutionalized patients of Uberlândia presented risk of undernutrition and undernutrition, and their nutritional state is aggravating with the age increase, which is consistent with the age-dependent decrease observed in some hematological variables. Since the low MNA scores were not necessarily associated to subnormal mean values of the hematological variables, we can conclude that the low MNA values are predicting situations that still did not manifest pathologically in those variables.

show abstract

“…Several studies have evaluated the nutritional risk of elderly individuals, 5,7,[17][18][19][20][21] but only one study (using the MNA) assessed the risk of malnutrition in elderly patients with congestive heart failure. 22 The study observed "risk of malnutrition" in 71% of men and 70% of women, while 5% of men and 15% of women were classified as "malnourished", showing higher prevalence of risk of malnutrition compared to the rate observed in the present study (45% of men and 40% of women), and higher prevalence of "malnourished" compared to the rate observed in the present study (25% of men and 47% of women).…”

Section: Discussionmentioning

confidence: 99%

Nutritional risk and associated factors in elderly patients with congestive heart failure in a Brazilian cardiology hospital

Antoniazzi

Oliveira

2014

Rev. bras. geriatr. gerontol.

View full text Add to dashboard Cite

Nutritional risk and associated factors in elderly patients with congestive heart failure in a Brazilian cardiology hospital AbstractObjective: To identify the nutritional risk and associated factors in elderly individuals with congestive heart failure admitted to a cardiology hospital. Methodolog y: A cross-sectional study collecting primary data was carried out in the Heart Institute of University of São Paulo. Nutritional risk was assessed using the Mini Nutritional Assessment (MNA). Data regarding sample (gender, age group, functional class of heart failure) was collected from medical records prior to application of the instrument. To test the association between nutritional status evaluated by MNA and independent variables, chi-square test and logistic regression were performed. Results: The study included 70 elderly individuals, 57% males and 50% between 60-69 years. Almost half of the group (43%) was classified as "at risk of malnutrition." Among these, 60% were 70 years or older (p = 0.005), categorized in functional classes III and IV (48%, p = 0.025). Almost all of the "malnourished" or "at risk of malnutrition" elderly (96%) reported at least 3 kg weight loss in the last 3 months (p=0.003), and 81% of the elderly who considered have health status worse than other elderly was malnourished (p<0.001). Positive association was found between "risk of malnutrition" or be "malnourished" and functional class III and IV of the heart failure (OR 4.76; p=0.010), and at least 1 kg weight loss in the last 3 months (OR 6.17; p=0.004). Conclusion: Most of elderly were at malnourished or at risk of malnutrition. The factors associated with nutritional risk in elderly patients with congestive heart failure (age, functional class of heart failure, recent weight loss and self-assessment of health status) should be observed during routine clinical practice.

show abstract

Clinical Impact of Different Scores of the Mini Nutritional Assessment (Mna) in the Diagnosis of Malnutrition in Patients With Cognitive Impairment

Cited by 21 publications

References 0 publications

Prevalencia de malnutrición en la población anciana española: una revisión sistemática

Prevalencia de malnutrición en la población anciana española: una revisión sistemática

Dependence of Mini-Nutritional Assessment Scores with Age and Some Hematological Variables in Elderly Institutionalized Patients

Nutritional risk and associated factors in elderly patients with congestive heart failure in a Brazilian cardiology hospital

Contact Info

Product

Resources

About